Suicidal ideation and suicide attempts in treatment-seeking pathological gamblers
Suicidal ideation and suicide attempts in treatment-seeking pathological gamblers
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DOI：
10.1097/00005053-200207000-00007
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发表时间：
2002-07-01
影响因子：
1.9
通讯作者：
Kiluk, BD
中科院分区：
文献类型：
--
作者：
Petry, NM;Kiluk, BD
这项研究评估了寻求病理性赌博治疗的个体的自杀意念和自杀企图的比率和相关性。在接受赌博治疗计划时，342名病态赌徒完成了成瘾严重程度指数和南橡树赌博筛查。研究对象分为三组：无自杀意念(N=175，51%)、有自杀意念(N=109，32%)和自杀未遂者(N=58，17%)。在控制了性别、年龄、治疗地点和药物滥用治疗史后，两组在精神、社会/家庭和赌博问题的严重性方面出现了长期差异。与没有自杀倾向的赌徒相比，有自杀意念的赌徒在接受赌博治疗前的一个月里出现更多的精神症状，对自己的生活状况更不满意，经历更多的冲突天数。与没有自杀意念史的病态赌徒相比，有自杀意念的人在进入治疗前的一个月里花在赌博上的钱更多，报告的赌博欲望更大，南橡树赌博屏幕得分更高。这些数据证实了其他关于病态赌徒自杀率高的报道，并可能表明需要对有自杀倾向的病态赌徒进行更密集和更有针对性的治疗。
This study assessed rates and correlates of suicidal ideation and suicide attempts in individuals seeking treatment for pathological gambling. At intake to gambling treatment programs, 342 pathological gamblers completed the Addiction Severity Index and the South Oaks Gambling Screen. Participants were categorized into three groups: no suicidal ideation (N = 175, 51%), suicidal ideation alone (N = 109, 32%), and suicide attempters (N = 58, 17%). After controlling for gender, age, treatment site, and substance abuse treatment histories, differences an-long the groups emerged in terms of severity of psychiatric, social/family, and gambling problems. Compared with nonsuicidal gamblers, those with suicidal ideation suffered from more psychiatric symptoms, were less satisfied with their living situations, and experienced more days of conflict in the month before entering gambling treatment. Compared with pathological gamblers with no history of suicidal ideation, those with suicidal ideation spent more money gambling in the month before entering treatment, reported greater cravings for gambling, and had higher South Oaks Gambling Screen scores. These data confirm other reports of high rates of suicidality in pathological gamblers and may suggest the need for more intensive and focused treatments in pathological gamblers with suicidality.